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psnet.ahrq.gov/node/49417/psn-pdf
October 01, 2003 - Lost in the Black Hole
October 1, 2003
Wachter R. Lost in the Black Hole. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/lost-black-hole
The Case
A 38-year-old married, monogamous female came to the emergency department with aseptic meningitis.
She had a remote history of gonorrhea, no environmental exposu…
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psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - Are We Pushing Graduate Nurses Too Fast?
Citation Text:
Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - SPOTLIGHT CASE
Two Wrongs Don't Make a Right (Kidney)
Citation Text:
DeVine JG. Two Wrongs Don't Make a Right (Kidney). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Schola…
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psnet.ahrq.gov/node/838972/psn-pdf
October 27, 2022 - The Unhappy Patient Leaves Against Medical Advice.
October 27, 2022
Nichols A. The Unhappy Patient Leaves Against Medical Advice. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
The Case
A 61-year-old woman was placed on bedrest following major surgery. Her posto…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
January 01, 2016 - Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator
39
Readmissions for Selected Infections
Due to Medical Care: Expanding the
Definition of a Patient Safety Indicator
Brian Gallagher, Liyi Cen, Edward L. Hannan
Abstract
Objective: Evaluate the A…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
July 01, 2003 - Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors
185
Preparing for Ambulatory Computerized
Prescriber Order Entry by Evaluating
Preimplementation Medication Errors
Emily Beth Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless,
Thomas K. Hazlet, R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
May 06, 2008 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization
Using an Anonymous Web-Based
Incident Reporting Tool to Embed the
Principles of a High-Reliability Organization
Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA;
Christine P…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
April 14, 2008 - Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration
Proactive Postmarketing Surveillance:
Overview and Lessons Learned from Medication
Safety Research in the Veterans Health Administration
Robert R. Campbell, JD, MPH, PhD; An…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period
Continuous Respiratory Monitoring and a “Smart”
Infusion System Improve Safety of Patient-Controlled
Analgesia in the Postoperative Period
Ray R. Maddox, PharmD; Harold Oglesby…
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cds.ahrq.gov/sites/default/files/cds/artifact/26/Implementation%20Guide_USPSTF%20Aspirin%20Therapy%20for%20the%20Prevention%20of%20CVD%20and%20CRC_Final.docx
October 01, 2017 - CDS Connect Implementation Guide Draft
Implementation Guide
USPSTF Aspirin Therapy for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contrac…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldatasum.html
October 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Reviewers
1. Introduction
2. Evidence of Disparities among…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix B. Clinical Materials to Share With Primary Care Providers (continued)
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet …
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www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix B. Clinical Materials to Share With Primary Care Providers (continued)
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-mailed-survey.pdf
June 01, 2025 - FECC Surveys
Mailed Survey
YOUR EXPERIENCES WITH YOUR
CHILD’S HEALTH CARE
Answer the questions in this survey for the child
named in the letter that came with this survey.
Your Privac…
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www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
January 01, 2024 - Final Progress Report: Developing a Medical Biometric Identification System with a Secure Database Network That Can Access Electronic Medical Databases
AHRQ Grant Final Progress Report
Title of Project:
Developing a Medical Biometric Identification System with a Secure Database Network That Can Access
Electroni…
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www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
January 01, 2024 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training
Virtual Healthcare Environments Versus Traditional Interactive Team
Training
Principal Investigator: Jeffrey M. Taekman, MD
Investigative Team: Noa Segall, PhD
David Turner, MD
Gene Hobbs, CHT
Cheryl Jacobs
Barb…
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www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
January 01, 2024 - Final Progress Report: Chronic Care Technology Planning Project
Chronic Care Technology Planning Project
John M. Branscombe, Jr., MSB, Principal Investigator
Team Members and Organizations:
David Peterson, President/CEO, The Aroostook Medical Center, Presque Isle, Maine
Joy Barresi-Saucier, RN, The Aroostook Medic…
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www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html
March 01, 2021 - Meeting Minutes, November 2020
Minutes from the November 10, 2020, meeting of the Agency for Healthcare Research and Quality's National Advisory Council.
( Virtual Meeting )
Contents
Summary
Call to Order and Approval of July 14, 2020, Meeting Summary
Overview and Recent AHRQ Accomplishments
AHRQ …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
PATIENT
SAFETY
e
Issue Brief 6
The Contribution of Diagnostic Errors
to Maternal Morbidity and Mortality
During and Immediately After Childbirth:
State of the Science
This…
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - A Complicated Course: Severe Alcohol Withdrawal with
Dexmedetomidine Infusion
July 31, 2023
Duong T, Boctor N, Bourgeois JA. A Complicated Course: Severe Alcohol Withdrawal with
Dexmedetomidine Infusion. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomid…